CPT 49422 pays $201.74 in a non-facility setting and $201.74 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $177.90 in Wisconsin to $255.04 in Alaska, a 43% spread.
National non-facility rate
$201.74
Office and other outpatient settings
Hospital and ASC settings
Alaska
Wisconsin · 43% spread
53 Medicare jurisdictions, highest to lowest. State values average every locality in the jurisdiction at a 33.4009 conversion factor.
| State | Rate compared visually | Non-facility | Facility |
|---|---|---|---|
| Alaska | $255.04 | $255.04 | |
| Florida | $232.23 | $232.23 | |
| Illinois | $230.08 | $230.08 | |
| New York | $224.00 | $224.00 | |
| District of Columbia | $219.41 | $219.41 | |
| New Jersey | $216.06 | $216.06 | |
| Connecticut | $214.12 | $214.12 | |
| Michigan | $212.40 | $212.40 | |
| West Virginia | $210.40 | $210.40 | |
| Maryland | $207.59 | $207.59 | |
| Georgia | $206.42 | $206.42 | |
| Massachusetts | $205.30 | $205.30 | |
| New Mexico | $204.92 | $204.92 | |
| Washington | $204.60 | $204.60 | |
| Pennsylvania | $204.32 | $204.32 | |
| Rhode Island | $202.05 | $202.05 | |
| Puerto Rico | $201.69 | $201.69 | |
| Virgin Islands | $201.69 | $201.69 | |
| Montana | $201.68 | $201.68 | |
| Louisiana | $199.82 | $199.82 | |
| Texas | $199.57 | $199.57 | |
| New Hampshire | $199.35 | $199.35 | |
| California | $198.96 | $198.96 | |
| Colorado | $198.80 | $198.80 | |
| Delaware | $198.68 | $198.68 | |
| Ohio | $198.57 | $198.57 | |
| Missouri | $197.99 | $197.99 | |
| Nevada | $196.43 | $196.43 | |
| Utah | $196.11 | $196.11 | |
| Oregon | $196.03 | $196.03 | |
| Arizona | $195.90 | $195.90 | |
| Kentucky | $194.64 | $194.64 | |
| South Carolina | $193.94 | $193.94 | |
| Hawaii | $193.64 | $193.64 | |
| Wyoming | $193.40 | $193.40 | |
| Virginia | $191.64 | $191.64 | |
| Oklahoma | $190.37 | $190.37 | |
| Maine | $188.01 | $188.01 | |
| Mississippi | $187.89 | $187.89 | |
| North Carolina | $187.53 | $187.53 | |
| Vermont | $185.51 | $185.51 | |
| Tennessee | $183.31 | $183.31 | |
| Alabama | $182.90 | $182.90 | |
| North Dakota | $182.69 | $182.69 | |
| Indiana | $182.38 | $182.38 | |
| Kansas | $182.05 | $182.05 | |
| Idaho | $181.69 | $181.69 | |
| Arkansas | $180.63 | $180.63 | |
| South Dakota | $180.45 | $180.45 | |
| Minnesota | $180.31 | $180.31 | |
| Iowa | $179.06 | $179.06 | |
| Nebraska | $178.76 | $178.76 | |
| Wisconsin | $177.90 | $177.90 |
Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.
See negotiated rates